A retrospective review on importance and various preparation of low molecular weight heparin for cardio vascular diseases

A. A. Shaikh, Sachin J. Anbhule, Sampat S. Banagr, Meghana Raykar, J. Pawar
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Abstract

Low-molecular-weight heparin (LMWH) are most importantly used in the clinical practice for cardio vascular diseases from 1990. The LMWH was a sulfated polysaccharide obtained from animal sources and some in natural especially from marine sources. The actual anticoagulant has the molecular weight about 25000 Daltons which have bleeding as side effect in the cardiovascular diseases. The LMWH are prepared by enzymatic or chemical hydrolysis the length of the heparin chain is reduced and also in same manner the molecular weight also reduced below 10000 Daltons. So, it has main advantage to reduce the bleeding in the cardiovascular diseases. The LMWH eliminated through the renal and it was not given to the patients with renal dysfunction. The LMWH of some product are still in clinical trials in order to reduce its side effects. The commercial LMWH preparation has concentrated in animal sources by killing them and lungs, intestine etc are used to prepare heparin. Here the alternate sources are discussed in order from killing the animal. This review summarizes the importance, difference between commercial heparin and LMWH, mechanism, preparation, LMWH products, clinical trials and LMWH from marine sources, Enzymatic degradation in shrimp species, Preparation of LMW heparin by chemically modified Fractions, Chromatography separation of LMW Heparin are discussed in this review.
综述了低分子肝素在心血管疾病中的重要性及各种制备方法
自1990年以来,低分子肝素(LMWH)在心血管疾病的临床应用最为广泛。低分子肝素是一种硫酸盐酸化多糖,从动物和一些天然来源,特别是从海洋来源中获得。实际的抗凝剂分子量约为25000道尔顿,对心血管疾病有出血的副作用。低分子肝素是通过酶解或化学水解制备的,肝素链的长度被缩短,分子量也以同样的方式减少到10000道尔顿以下。因此,它在减少心血管疾病的出血方面具有重要的优势。低分子肝素通过肾脏排出,不给予肾功能不全的患者。一些产品的低分子肝素仍在临床试验中,以减少其副作用。低分子肝素的商业制备主要集中在动物源,通过杀死动物,并利用肺、肠等来制备肝素。这里按宰杀动物的顺序讨论其他来源。本文综述了低分子肝素的重要性、商品肝素与低分子肝素的区别、作用机制、制备方法、低分子肝素产品、临床试验和海洋低分子肝素、虾类酶降解、化学修饰馏分制备低分子肝素、色谱分离等方面的研究进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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